| NPI | 1467626374 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: WA MD600772440) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IL 036-114852) |
| Enumeration Date | 2008-04-22 |
| Last Update Date | 2012-12-31 |